delphiniumRN

delphiniumRN

Psych, Pulmonary

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All Content by delphiniumRN

  1. PMHNP vs PHMCNS murky waters scope of practice

    Hi, I graduate from an adult pmhnp program next year. I also have colleagues who will be in pmhcns tract. I understand that in some states the cns can not prescribe. What is the difference between scope of practice? Is is mostly the managment of...
  2. FNP working in mental health

    interesting that all they require is hours, my school also requires 16 credits of didactics minimum depending on post specialization. Good Luck, there is definately a need for people willing to work with the mentally ill.
  3. Massachusetts FNP student looking for NP preceptors!

    Caitlin, Go back to VA education department and see if they will train you in other areas. For example some of the clinics such as Causeway have medical. I think the VA has a women's health clinic. I know there are adequate Geri Patients. Precept...
  4. FNP working in mental health

    Actually I will get my Psych Np next year and the only caveat I have to you is to know what you are dealing with when doing psych. For instance in IM a family M.D. wont touch someone with severe depression with psychotic features, Mania that is not ...
  5. I don't get it.......vent

    maybe someone should remind the social worker what happened at the MGH bipolar clinic with the pdoc being attacked. That patient hadn't even shown agression prior.
  6. PMHNP vs PHMCNS murky waters scope of practice

    Thanks, it seems that it depends on your training. I think the Federal Govt dictates it's own scope and I will be at the VA for training. Makes sense
  7. State of CA CNS vs. NP

    I thought the OP was from MA. You are absolutely right.
  8. State of CA CNS vs. NP

    I know the a CNS in psych can prescribe once they fufill all requirements.
  9. Nurse stealing Dilaudid

    You know what is strange: the addiction part I understand. I dont agree with drug diversion and it is a crime. Working under the influence is also a risk to patients. What really turns my stomach is that she is probably leaving some poor patient th...
  10. who are you meeting with? the dean of nursing good luck
  11. Is Psych Nursing Easy?

    I worked Geri Psych one day it was worse than a pulmonary floor. If you equate Geri to fragile and then add on all of the peculiar labs as well as the slew of medical meds and psych meds and their possible interactions. There is a great challenge ...
  12. good luck to you guys, it is a hard program.... you can do it
  13. Morphine drip----help

    The best thing to do is to follow protocol and to document what type of distress: ie grimace, clenching, htn, crying in your note. These types of descriptive words used in a note when titrating a drip will only protect you legally. Another this some...
  14. PMHNP - precepting time

    Hi I am from the boston area and am having a hard time obtaing PMHNP precept hours. They can be with a pdoc, NP psych, or CNS. Any ideas. I am getting letters of recommendations as well as networking. I think the school I go to will find me someon...
  15. Does Psy nursing pay more

    I find it pays less at least where I work. However at the graduate level cns/np the psych specialist makes more generally. Possibly d/t the specialist component.. any ideas
  16. PMHNP - precepting time

    You need to ask the school, because cleary there are not enough psych np/cns around. MD's can precept nurses as long as they agree to the contract.. That can be difficult.
  17. PMHNP - precepting time

    I just got the boiler plate contract and I am working on getting all of my recommendations together... Can't wait to precept. I absolutely love psych. even though it has its own set of challenges. I feel that I can take my energies and devote it to...
  18. absolutely beautiful!
  19. Why are doctors so easily manipulated by drug addicts?

    that is a prime example of poor polypharmacy and greed/ bad judgement that led to death. i believe it was a nurse who tried to blow the whistle on the diprivan
  20. Why are doctors so easily manipulated by drug addicts?

    the best approach to this type of patient is a pain consult, either by a psychiatrist that specializes in pain or a pain doc. The pain must be managed per JHACO to a resonable level for that patient, however they are multiple modalities other than p...
  21. Can I still be a nurse?

    I agree with smitty, you need to get the correct meds, diagnosis, and become stabilzed... We can not give medical advice, but I would definately ask to see my GAF and the diagnosis on Axis 1 and Axis 2. Why are 2 pdocs managing you, were you refered...